Management and outcomes of adnexal masses during    pregnancy: a 6-year experience.
OBJECTIVE
To demonstrate adnexal masses detected during gestations in a 6-year period.


METHODS
A retrospective study of pregnancy with adnexal masses requiring surgery over a 6-year period at the Selcuk University Hospital, a tertiary referral center, between June 2000 and June 2006.


RESULTS
We detected 36 pregnancies with adnexal masses. The mean age of the patients was 26.6 years (range, 18-42). The mean gestational age at which adnexal masses were detected was 17 weeks (range, 5-36), and the mean gestational age at the time of surgery was 24 weeks (range, 6-41). Postoperative pathology results of the patients were functional ovarian cysts in 14 cases (41.1%), endometrioma in eight cases (23.5%), dermoid cyst in six cases (17.6%), serous cystadenoma in two cases (5.8%), mucinous cystadenoma in one case (2.9%), para-ovarian cyst in one case (2.9%), and borderline serous tumor in two cases (5.8%). Two patients operated on during the second trimester developed preterm birth risk (5.8%). Miscarriage occurred in only one patient (2.9%).


CONCLUSIONS
In this report, we demonstrate a high rate of surgical intervention of adnexal masses at pregnancy which is secondary to the fact that our center works as a tertiary referral center. Most masses at pregnancies were benign in character and our malignity rate was low. We detected an acceptable complication rate due to surgery in pregnant women.
Balci
Osman
O
Department of Obstetrics and Gynecology, Meram Medicine Faculty, Selcuk University, Konya, Turkey. drobalci@yahoo.com
Gezginc
Kazim
K
Karatayli
Rengin
R
Acar
Ali
A
Celik
Cetin
C
Colakoglu
Mehmet C
MC
D000291:Adnexal Diseases / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D005260:Female; D005833:Genital Neoplasms, Female / Q000601:surgery*; D006801:Humans; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000601:surgery*; D011256:Pregnancy Outcome; D012189:Retrospective Studies; D016896:Treatment Outcome